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5. Submission Form
7. Instructions
   Welcome to the Mayor Byron W. Brown's Civic Innovation Challenge Powered by AT&T Submission Form! Please fill out all required information labeled with red asterisks. The team captain should be the WNY resident or student on your team so we can quickly verify that you've satisfied the geographic requirement of having one WNY resident or student on your team (for more details, go to https://www.buffaloinnovates.com/149/Rules-Submission-Guidelines) . Please include name and contact information for all team members so we can effectively recognize all winning teams' members at the Grand Finale.
9. Team Information
11. Team Name*
13. Team Member #1 (Captain)
15. First Name*
16. Last Name*
18. Email Address*
20. Address*
22. City*
23. State*
24. ZIP Code*
25. Country*
27. Phone Number*
29. Do you have a second team member to add?*

    1. Yes

    1. No
31. First Name*
32. Last Name*
34. Email Address*
36. Address*
38. City*
39. State*
40. ZIP Code*
41. Country*
43. Phone Number*
45. Do you have a third team member to add?*

    1. Yes

    1. No
47. First Name*
48. Last Name*
50. Email Address*
52. Address*
54. City*
55. State*
56. ZIP Code*
57. Country*
59. Phone Number*
61. Do you have a fourth team member to add?*

    1. Yes

    1. No
63. First Name*
64. Last Name*
66. Email Address*
68. Address*
70. City*
71. State*
72. ZIP Code*
73. Country*
75. Phone Number*
77. Do you have a fifth team member to add?*

    1. Yes

    1. No
79. First Name*
80. Last Name*
82. Email Address*
84. Address*
86. City*
87. State*
88. ZIP Code*
89. Country*
91. Phone Number*
93. Project Information
95. Project Title*
    If your project was a product, what would you call it? Be creative!
97. Description*
    You must include a written description summarizing your technological solution. The summary should clearly articulate what your solution is and how it will help the City of Buffalo streamline operations and enhance service delivery.
99. Link to video*
    You must include a short summary video no more than four (4) minutes long. The Summary Video must include a demo of the solution and include voiceover or narrative by person on screen explaining the demo. Please upload your video to a video-sharing website such as YouTube or Vimeo and provide the link.
101. Link to working desktop, web, or mobile application*
     If you are submitting a software solution as your entry, please provide a link to a working desktop, web, or mobile application. If you are uploading your desktop or mobile application below, please put N/A in this field.
103. Upload working desktop or mobile application
     If you are submitting a desktop or mobile application, you can upload the file here.
105. Link to code (if applicable)
     If you wrote choose to share the source code for your solution, please provide a link where the code can be accessed and reviewed.
107. Notes
109. Please read the rules before submitting registration information
     Rules
111. Electronic Signature Agreement*

     By checking the "I agree" box below, I have read and will adhere to the rules of Mayor Byron W. Brown’s Civic Innovation Challenge, powered by AT&T

     1. I agree.
113. Electronic Signature*
Leave This Blank:


115. 1. Receive an email copy of this form.
116. Email address

     This field is not part of the form submission.

117. Submit

* indicates a required field